Provider Demographics
NPI:1770104580
Name:CHAMI, ALI (DPM)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:CHAMI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5880 N CANTON CENTER RD STE 462
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-6666
Mailing Address - Country:US
Mailing Address - Phone:734-418-0353
Mailing Address - Fax:734-418-0535
Practice Address - Street 1:5880 N CANTON CENTER RD STE 462
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-6666
Practice Address - Country:US
Practice Address - Phone:734-418-0353
Practice Address - Fax:734-418-0535
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901400468213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist